PIP: The incidence of IUD translocation varies, according to different authors, from 1/1000 to 0.1-0.5%. Translocation happens because of uterine perforation at the time of insertion; the skill and experience of the operator is paramount in avoiding such a problem. This article reports on the case of a 31 year old patient who, the day following insertion of a Gravigard IUD, was hospitalized for severe pains. Radiography revealed that the device had migrated into the left superior part of the abdomen; the IUD was removed by laparotomy. Diagnosis of a translocated IUD can be done by radiography, but often ultrasonography and hysterosalpingography are necessary; laparoscopy can be done for diagnosis and treatment at the same time. It is important to remove a translocated IUD as soon as possible, especially when it is a copper IUD, since copper may cause serious peritoneal reactions.